Kathy D Swafford, MD - Medicare Pediatrics in Carbondale, IL

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Kathy D Swafford, MD is a medicare enrolled "Pediatrics" physician in Carbondale, Illinois. Her current practice location is 300 W Oak St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 536-6621.

Kathy D Swafford is licensed to practice in Illinois (license number 036074783) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871583849.

Contact Information

Kathy D Swafford, MD
300 W Oak St,
Carbondale, IL 62901-1400
(618) 536-6621
Not Available

Map and Direction




Physician's Profile

Full NameKathy D Swafford
GenderFemale
SpecialityPediatrics
Location300 W Oak St, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871583849
  • Provider Enumeration Date: 10/21/2005
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729426978
  • Enrollment ID: I20240405003117

Medical Identifiers

Medical identifiers for Kathy D Swafford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871583849NPI-NPPES
102371OtherILHEALTHLINK
021175OtherILHEALTH ALLIANCE
09122971OtherILBLUE CROSS/BLUE SHIELD
036074783MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036074783 (Illinois)Primary
2080C0008XPediatrics - Child Abuse Pediatrics 036074783 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathy D Swafford allows following entities to bill medicare on her behalf.
Entity NameSiu Physicians & Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558385989
PECOS PAC ID: 2365352820
Enrollment ID: O20031222000769
Entity NameBoard Of Trustees Of Southern Illinois University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396097960
PECOS PAC ID: 4486667888
Enrollment ID: O20130424001019

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathy D Swafford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathy D Swafford, MD
201 E Madison St Ste 328,
Springfield, IL 62702-5131

Ph: (217) 545-8000		Kathy D Swafford, MD
300 W Oak St,
Carbondale, IL 62901-1400

Ph: (618) 536-6621

Reviews and Comments


Pediatrics Doctors in Carbondale, IL

Dr. Kathryn Churling, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-549-5128
Dr. Timothy Allotey Pappoe, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Dr. Tandy Korte, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Dr. William Chotas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-529-0549
Dr. Amanda Jane Bleichner, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Tamara Buckles, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Dr. Paul F Ploegman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1111 Cedar Ct, Carbondale, IL 62901
Phone: 618-529-8687    Fax: 618-529-8688

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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